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当一个确诊为冠状动脉疾病(CAD)而又得到最适宜治疗的病人反复发作胸痛时,病人和医生都可能认为疼痛是心脏引起的。以往的研究曾证明食管性胸痛无法区别于心脏性胸痛,因而可能将食管性胸痛漏诊。本文试图证明食管疾患在 CAD 病人所感受到的胸痛和不适中可能起着重要的作用,以及这些病人能安全地进行食管试验。病人和方法确诊为 CAD 病人32例,均为男性,平均年龄60.4(50～71)岁,每天均有频繁的胸骨后痛。入院后详细采集病史,特别注意胸痛的描述和烧心感的存在。除降低胃酸和中和胃酸的药物外,其他药物继续使用,研究期间不进能改变 pH 的食物。病
When a chest pain is recurrent in a patient diagnosed with coronary artery disease (CAD) who is treated optimally, both the patient and the doctor may consider the pain to be heart-induced. Previous studies have shown that esophageal chest pain can not be distinguished from cardiac chest pain and may therefore miss esophageal chest pain. This article attempts to demonstrate that esophageal disorders may play an important role in chest pain and malaise experienced by CAD patients and that these patients can safely perform esophageal tests. Patients and methods were diagnosed as 32 cases of CAD patients, both men, the average age of 60.4 (50 ~ 71) years of age, have frequent recurrence of sternal pain. After admission to collect a detailed history, with particular attention to the description of chest pain and the presence of heartburn. In addition to reducing gastric acid and neutralizing gastric acid drugs, other drugs continue to use, during the study can not change the pH of food. disease